Fundamentals of Hip and Knee Arthroplasty for Orthopaedic Residents. Presented by AAOS, AAHKS, The Knee Society and The Hip Society FINAL PROGRAM

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1 Fundamentals of Hip and Knee Arthroplasty for Orthopaedic Residents Presented by AAOS, AAHKS, The Knee Society and The Hip Society FINAL PROGRAM SURGICAL SKILLS! April 13 15, 2018 Ronald Delanois, MD Gregory Golladay, MD Course Directors

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3 Fundamentals of Hip and Knee Arthroplasty for Orthopaedic Residents presented by AAOS/AAHKS/The Hip Society/The Knee Society April 13-15, 2018, The American Academy of Orthopaedic Surgeons (AAOS), American Association of Hip and Knee Surgeons (AAHKS), The Hip Society and The Knee Society extends sincere appreciation to the below companies for their support of this educational program. Grants DePuy Synthes (Gold Level) Stryker (Gold Level) Zimmer Biomet (Gold Level) Brainlab (Silver Level) Acelity (Bronze Level) DJO Global (Bronze Level) LinkBio Corp. (Bronze Level) In-Kind Support Brainlab, Inc. DePuy Synthes DJO Global Exactech Innomed Kinamed Stryker Zimmer Biomet

4 Fundamentals of Hip and Knee Arthroplasty for Orthopaedic Residents presented by AAOS/AAHKS/The Knee Society/The Hip Society, #3365 April 13-15, 2018, Vista Lab, Ronald E. Delanois, MD, and Gregory Golladay, MD, Course Directors SCHEDULE FRIDAY, APRIL 13 4:30 pm Registration and Dinner (Registration Foyer) 5:00 Welcome and Course Overview (Lecture Room) Ronald E. Delanois, MD and Gregory Golladay, MD TOTAL HIP REPLACEMENT Moderator: Brian G. Evans, MD CMEs: As of April 9, 2018 Content and faculty subject to change 5:05 Small Group Case Discussion THA (Basic Principles) Basic Osteoarthritis Rheumatoid Arthritis Osteonecrosis Discussion Leaders: Drs. Caughran, Charpentier, Delanois, Engh, Evans, Golladay, 5:45 Preoperative THA Planning and Templating Peter K. Sculco, MD 6:00 THA Stem Femoral Design: Fitting the Anatomy C. Anderson Engh Jr, MD 6:15 Hip Template Session Session Leader: Ronald E. Delanois, MD Session Instructors Drs. Caughran, Charpentier, Delanois, Engh, Evans, Golladay, 7:30 Course Adjourns for the day

5 SATURDAY, APRIL 14 6:45 am Breakfast 7:00 Lab Orientation (Lecture Room) Ronald E. Delanois, MD and Gregory Golladay, MD SURGICAL APPROACHES IN THA Moderator: C. Anderson Engh Jr, MD 7:10 am Surgical Anatomy of the Hip Nirav K. Patel, MD, MS, FRCS 7:20 INTERACTIVE PRE-RECORDED DEMONSTRATION Posterior Approach Hip Julius K. Oni, MD 7:30 INTERACTIVE PRE-RECORDED DEMONSTRATION Direct Anterior Hip Anthony S. Unger, MD 7:40 INTERACTIVE PRE-RECORDED DEMONSTRATION Direct Lateral Hip Ronald E. Delanois, MD 7:50 Surgical Approaches: A Critique/Faculty Debate Moderator: Gregory Golladay, MD Panelists: Drs. Caughran, Charpentier, Delanois, Engh, Evans, Golladay, Hess, Nace, Oni, Patel, Satpathy, Sculco, Thakkar, and Walsh 8:00 HANDS-ON SURGICAL SKILLS LAB (LAB) Surgical Approaches Acetabular Preparation Lab Leaders: Ronald E. Delanois, MD and Gregory Golladay, MD Lab Instructors: Drs. Caughran, Charpentier, Delanois, Engh, Evans, Golladay, 10:00 Refreshment Break (Lecture Room) 10:15 Small Group Case Discussions THA (Lecture Room) DDH Post Traumatic Arthritis Hardware and Deformity Childhood Hip Disease Evaluation and Treatment of TJA Infection Discussion Moderator: Shane Hess, DO Discussion Leaders: Drs. Caughran, Charpentier, Delanois, Engh, Evans, Golladay, 11:30 Lunch and Panel Discussion

6 1:00 pm HANDS-ON SURGICAL SKILLS LAB (LAB) Femoral Components Anatomic Dissection of Hip Specimen Lab Leaders: Ronald E. Delanois, MD and Gregory Golladay, MD Lab Instructors: Drs. Caughran, Charpentier, Delanois, Engh, Evans, Golladay, 2:30 Refreshment Break TOTAL KNEE REPLACEMENT (Lecture Room) Moderator: James Nace, DO, PT 2:45 Basic Principles of TKA Handout: Michael L. Parks, MD Lecturer: Ronald E. Delanois, MD or Gregory Golladay, MD 3:00 Small Group Case Discussion TKA (Lecture Room) Indications: Non-Operative Treatment and Preop Considerations Limb Alignment and Deformity Soft Tissue Balance and Ligament Releases Patella Tracking and Resurfacing Discussion Moderator: C. Anderson Engh Jr, MD Discussion Leaders: Drs. Caughran, Charpentier, Delanois, Engh, Evans, Golladay, 4:00 Panel Discussion: Perioperative Pain Management Multimodal analgesia Periarticular injections Regional / peripheral anesthesia Moderator: James Nace, DO, PT Panel: Drs. Caughran, Charpentier, Delanois, Engh, Evans, Golladay, Hess, Nace, Oni, Patel, Satpathy, Sculco, Thakkar, and Walsh 4:30 Unicompartmental Knee Arthroplasty: Rationale and Indications Jibanananda Satpathy, MD 4:45 Unicompartmental Knee Replacement: Technical and Surgical Principles Handout: Farshad Adib, MD Lecture: Gregory Golladay, MD 5:00 Course Adjourns for the Day

7 SUNDAY, APRIL 15 PRINCIPLES OF TOTAL KNEE REPLACEMENT (Lecture Room) 6:30 Breakfast 7:00 am PRE-RECORDED VIDEO DEMONSTRATION Gap Balancing and Measured Resections Video by R. Michael Meneghini, MD Moderator: Ronald E. Delanois, MD or Gregory Golladay, MD 7:30 HANDS-ON SKILLS LAB (LAB) Surgical Exposures Primary Total Knee Lab Leader: Ronald E. Delanois, MD Lab Instructors: Drs. Caughran, Charpentier, Delanois, Engh, Evans, Golladay, OPTIONAL LAB: Knee Templating Lab Leaders: Gregory Golladay, MD Lab Instructors: Drs. Caughran, Charpentier, Delanois, Engh, Evans, Golladay, 9:30 Small Group Case Discussions (Lecture Room) Severe Valgus Extra-Articular Deformity Previous Hardware Obesity Discussion Moderator: Peter K. Sculco, MD Discussion Leaders: Drs. Caughran, Charpentier, Delanois, Engh, Evans, Golladay, 10:30 Panel Discussion: Perioperative Care of the Arthroplasty Patient Blood Conservation/TXA DVT Prophylaxis Physical Therapy CPM, Cryo Therapy Risk Optimization Moderator: Brian G. Evans, MD Panelists: Drs. Caughran, Charpentier, Delanois, Engh, Evans, Golladay, Hess, Nace, Oni, Patel, Satpathy, Sculco, Thakkar, and Walsh 11:15 Lunch (Registration Foyer/Lecture Room) Symposium:TKA Complication Avoidance and Management Wound Closure Intra-Operative MCL Disruption Extensor Mechanism Disruption Moderator: Peter K. Sculco, MD Panelists: Drs. Caughran, Charpentier, Delanois, Engh, Evans, Golladay, Hess, Nace, Oni, Patel, Satpathy, Sculco, Thakkar, and Walsh

8 12:30 pm HANDS-ON SKILLS LAB (LAB) Advanced and Extensile Exposures Complete Knee Dissection Lab Leaders: Ronald E. Delanois, MD and Gregory Golladay, MD Lab Instructors: Drs. Caughran, Charpentier, Delanois, Engh, Evans, Golladay, 3:00 Course Adjourns The American Academy of Orthopaedic Surgeons is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education (CME) for physicians. The American Academy of Orthopaedic Surgeons designates this live activity for a maximum of AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

9 Fundamentals of Hip and Knee Arthroplasty for Orthopaedic Residents presented by AAOS/AAHKS/The Hip Society/The Knee Society (East) April 13-15, 2018 Course #3365 DIRECTORS Ronald E. Delanois, MD Rubin Institute for Advanced Orthopedics Gregory Golladay, MD VCUHS-MCV Richmond, VA Dr. Delanois is a board-certified, fellowship-trained orthopedic surgeon who has more than 20 years of experience with complex hip, knee and shoulder reconstructive surgery. He is the division director of the Center for Joint Preservation and Replacement (CJPR) and is the director of the CJPR Fellowship Program. His emphasis is on diagnostic, arthroscopic and joint preserving procedures for the hip, knee and shoulder. He served 24 years in the United States Air Force; for eight years he was the division head of the Adult Reconstructive Service at the Naval Medical Center Portsmouth. Dr. Delanois and his team deliver advanced orthopedic solutions to patients who suffer from a multitude of joint aliments. He has performed thousands of arthroscopic and reconstructive procedures. He is involved with the latest cuttingedge technology that allows the patient to return to a full and active lifestyle in the shortest amount of time. Dr. Golladay is Associate Professor of Orthopaedic Surgery and Fellowship Director of Adult Reconstruction at VCU Health. He joined the faculty in 2013 after 12 years in private practice in Michigan, following residency training at the University of Michigan and fellowship at MGH. He is Committee Chairman of the Publications Committee of AAHKS and a Board Member of the Virginia Orthopaedic Society. He was a founding member of MARCQI, the Michigan arthroplasty registry. His current research interests include use of nanosensors for quantitative knee balancing and a variety of projects related to quality improvement in TJA. Dr. Golladay is pleased to be a part of the Baltimore residents' course for the fourth year and is greatly indebted to the volunteer faculty and the AAOS administrative staff as well as the industry sponsors for their great contributions to this course. FACULTY Alexander Caughran, MD Rubin Institute for Advanced Orthopaedics Sinai Hospital of Baltimore Paul Charpentier, MD VCUHS Richmond, VA

10 Fundamentals of Hip and Knee Arthroplasty for Orthopaedic Residents presented by AAOS/AAHKS/The Hip Society/The Knee Society (East) April 13-15, 2018 Course #3365 C. Anderson Engh Jr, MD Anderson Orthopedic Research Institute Alexandria, VA Brian G. Evans, MD MedStar Georgetown University Hospital Washington, DC Shane Hess, DO The CORE Institute Phoenix, AZ James Nace, DO, PT Sinai Hospital of Baltimore Julius K. Oni, MD Johns Hopkins Hospital Nirav K. Patel, MD, MS, FRCS Rothman Institute Philadelphia, PA Jibanananda Satpathy, MD, MRCSEd VCU Health System Glen Allen, VA Peter K. Sculco, MD Hospital for Special Surgery New York, NY Savyasachi C Thakkar, MD Medstar Washington Hospital Center Washington, DC Anthony S. Unger, MD Johns Hopkins Medical Washington, DC Cory Walsh, MD Rubin Institute for Advanced Orthopaedics Sinai Hospital of Baltimore